Michael Anthony Derose is a Pueblo, Colorado based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Michael Anthony Derose is
DEN-5133 for General Practice Dentistry in Colorado. His current practice location is
1022 Liberty Ln, Pueblo. Patients can reach him at
719-545-5778.
Michael Anthony Derose is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Michael Anthony Derose speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Michael Anthony Derose |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1022 Liberty Ln, Pueblo,
Colorado, 81001-2039 |
| Phone: | 719-545-5778 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1033185871 |
| NPI Enumeration Date: | 23 Feb, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Anthony Derose are as mentioned below.
| License Number | Specialization | State | Status | |
| DEN-5133 | General Practice Dentistry | Colorado | Primary | |
| 12010424A | General Practice Dentistry | Indiana | Secondary | |
| 5643 | General Practice Dentistry | Oklahoma | Secondary | |
| DD2030 | General Practice Dentistry | New Mexico | Secondary | |
| 60184 | General Practice Dentistry | Kansas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Anthony Derose such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2051332 | Medicaid | Colorado | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 415 N Grand Ave,
Pueblo, Colorado |
| Zip: | 81003-3111 |
| Phone Number: | 719-546-3333 |
Patients can reach Michael Anthony Derose at
1022 Liberty Ln, Pueblo, Colorado or can
call to book an appointment on 719-545-5778.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.